Ilene Terese Krenelka, LMP, LE
Specialist in Lakewood, WA. Individual provider (NPI-1).
NPI number1467588905
StatusActive
Last updated in NPPESMar 16, 2016
Details
- NPI
- 1467588905
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ilene Terese Krenelka
- Credential
- LMP, LE
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2007
- Last updated
- Mar 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 10948 | WA | Yes |
Practice location
6302 93rd St SwLakewood, WA 98499-9222
Phone 253-678-9692
Mailing address
6302 93rd St SwLakewood, WA 98499-9222
Phone 253-678-9692
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All 31 Specialist providers in Lakewood · All 3,440 providers in Lakewood
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